Individual provider Active NPI

Luis Rivera Lopez, M.D.

  • Pediatrics Physician
  • Yauco, PR
National Provider Identifier
1174507305
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
5626 Issued in PR
Practice address
Centro Comercial Barinas
Oficina #6
Yauco, PR 00698-1503
Phone
(787) 856-5335
Fax
(787) 856-5335
NPI assigned
Dec 1, 2005
Last updated
Jan 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 5626 PR Primary

Addresses

Primary practice location

Centro Comercial Barinas
Oficina #6
Yauco, PR 00698-1503

Mailing address

PO Box 1503
Yauco, PR 00698-1503
Phone (787) 856-5335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200302000421 PR Practitioner - Pediatric Medicine 7315374451 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Migrant Health Center Western Region, Inc. CurrentSince Jun 9, 2020 Accepting new patients
Migrant Health Center Western Region,Inc CurrentSince Jun 9, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1174507305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1503",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006981503",
            "telephone_number": "787-856-5335",
            "fax_number": "787-856-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO COMERCIAL BARINAS",
            "address_2": "OFICINA #6",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006981503",
            "telephone_number": "787-856-5335",
            "fax_number": "787-856-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA LOPEZ",
        "first_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "5626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yauco, PR

Sources for this page

Verify at the official NPI Registry.